Individual
DR. PATRICK JOHN RUKAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2500 COMO AVE, CHIROPRACTIC DEPT, SAINT PAUL, MN 55108-1460
(651) 641-6247
Mailing address
2500 COMO AVE, CHIROPRACTIC DEPT, SAINT PAUL, MN 55108-1460
(651) 641-6247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226228200
—
MN
01
—
227M5RU
BCBS
MN
01
—
231836
ACN
MN
01
—
92637
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
12/09/2014
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